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22

Audit Manager Healthcare Jobs in District Of Columbia





Job info
 
Company
**********
Location
Washington, DC
Posted Date
Nov 29, 2020
Info Source
Employer  - Full-Time  90  

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Dec 05, 2020
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Mar 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..

 
Company
**********
Location
Washington, DC
Posted Date
Feb 23, 2022
Info Source
Employer  - Full-Time  90  

... determination processes and Medical Director audit processes. . Provide oversight and ... years of management experience within Healthcare A current and unrestricted physician ... their home. We are a..

 
Company
**********
Location
Washington, DC
Posted Date
Nov 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Sep 02, 2021
Info Source
Employer  - Full-Time  90  

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..

 
Company
**********
Location
Washington, DC
Posted Date
Dec 01, 2021
Info Source
Employer  - Full-Time  90  

... Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ... in compiling and presenting your audit findings? If you answered YES ... production based environment of clinical..

 
Company
**********
Location
Washington, DC
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..

 
Company
**********
Location
Washington, DC
Posted Date
Oct 23, 2021
Info Source
Employer  - Full-Time  90  

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

 
Company
**********
Location
Washington, DC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Washington District Of Columbia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Oct 19, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Washington District Of Columbia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and ..

 
Company
**********
Location
Washington, DC
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... District Of Columbia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

 
Company
**********
Location
Washington, DC
Posted Date
Sep 26, 2021
Info Source
Employer  - Full-Time  90  

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

 
Company
**********
Location
Washington, DC
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Washington District Of Columbia Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Washington District Of Columbia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

 
Company
Humana Inc.
Location
Washington, DC
Posted Date
Oct 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

 
Company
**********
Location
Washington, DC
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... areas Bachelor's degree or significant..

 
Company
**********
Location
Washington, DC
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicare Enrollment Representative 2 - Remote in Washington District Of Columbia Description The Enrollment Representative 2 processes applications from members, enrolls them on company platforms, and transmits enrollment ..

 
Company
**********
Location
Washington, DC
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Director, Behavioral Health Strategy in Washington District Of Columbia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality ..

 
Company
**********
Location
Washington, DC
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..

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